ATI RN
ATI RN NSG Adult Medical-Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: D
Rationale: Sudden abdominal pain is a hallmark sign of gastrointestinal perforation due to the abrupt release of gastric contents into the peritoneal cavity.
Question 2 of 5
A nurse is preparing to administer a dose of lactulose to a client diagnosed with cirrhosis. The client states, 'I don't need this medication. I am not constipated.' The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Correct Answer: A
Rationale: Lactulose reduces ammonia levels in cirrhosis by promoting its excretion in the stool, preventing hepatic encephalopathy.
Question 3 of 5
A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments should be the nurse's priority assessment?
Correct Answer: D
Rationale: The gag reflex is the priority post-EGD to ensure the client can swallow safely before resuming oral intake.
Question 4 of 5
A nurse working for a home health agency is teaching a client diagnosed with diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling their glucose levels?
Correct Answer: D
Rationale: An HbA1c of 6.3% indicates good glucose control, typically below the 7% target for most diabetic patients.
Question 5 of 5
A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
Correct Answer: C
Rationale: Chronic blood loss from ulcerative colitis leads to anemia due to ongoing gastrointestinal bleeding.